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Do I really need health insurance?

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4 March, 2018

Death, taxes and rising Health Insurance Premiums seem to be the new constants in our known Universe. April fools day an appropriate date set for increases each year and fear style advertising abundant on our screens as the funds desperately try to get young people, in particular, to sign up.

Private Health Insurance is usually shrouded by concerns between the cost, and what is best for you and your family’s health. It is a substantial chunk of a family budget that many facing increased cost of living pressures simply cannot afford and need to rely on the public system. Even the traditional middle income earners have less to spend because of huge utilities costs and are choosing to opt out of private funds in droves or cutting down on many extras coverage. This has partly been responsible for sending waiting times up even higher. Western Australia has seen a 12% increase in waiting times since the downturn of its resource boom as many more return to the public system.

Why does health cover keep rising each year? Well, health costs go up each year, more people are claiming more often, an ageing population living longer and the Government actually reduces its contribution each year. Yes reduces its contribution. Which means we have to pay more each year. An average of around $200 more.

The big scary cut off point we are told is when you turn 31 as if you are not in a health fund you will be charged a surcharge. How do we know if this surcharge is worth avoiding? CHOISE has released a simple guide to help (see link below for info). CHOICE is a consumer advocate that provides Australians with information and advice, free from commercial bias. This survey asks a few simple questions and gives you an answer based on strictly financial outcomes. There are assumed variables and carefully worded disclaimers and it should not be taken as a complete and absolute guide. Whilst many would welcome a definitive yes or no, it really depends on preference as it does not consider that many people want some control of what, when and who they can use for treatment, particularly for elective surgery. Joining the waiting list at the back of the queue can be stressful when there is discomfort involved. So there is always a personal choice but usually dictated by the realities of whether you are willing to wait or can afford to jump the queue by paying for private treatment. Many can’t afford the costs and have to put up with serious discomfort as they slowly progress their way to the front of the queue in the public system, and that is not right.

So who is the real winner when it comes to health care? It still comes down to what you want and what you can afford. Like many things in life a lot depends on your income. If you’re in the big dollar bracket then you can expect to pay a hefty surcharge if you don’t have a fund. So you can save money if you stay in the health cover you can afford. If you’re young and reasonably healthy then the odds are in your favour for opting out and continuing with knowledgable ignorance. Experts say that you should put some money away in place of paying for private insurance to manage if things go wrong but good luck telling that to a young adult signing up to a new phone every year or struggling to pay a Hex debt. If you’re in the middle income bracket you can expect a lot of cajoling or sharp pointed sticks prodding you in the direction of just coughing up and paying. Middle income earners is the market where most of the fear advertising is directed. If you’re in the low income bracket with no private cover then please take a number and wait and we'll be with you as soon as we can.

In reality, we are only just hanging on to the belief that the majority of people have access to health care if they need it. No matter what they earn or if they are in a fund or not. Choice and urgency is what is quickly disappearing. Waiting lists for treatment have and will increase and without urgent attention it will spiral out of control and we may just lose the dream of affordable health for all. Cost of Living increases mean that many who have been paying the lion share are opting out and the waiting lists are growing like bread lines in a recession.

So, look at the your scenario well. Do the survey but measure the response with your needs. Check to see if you can get a better deal but be careful as to what that deal is giving you. Unfortunately it all seems a bit of a gamble with your health at stake.

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